arXiv:2603.10173cs.ROcs.HC2026-03

通过6维等长游戏分析中风后与健康人群的神经肌肉行为差异,为康复机器人设计提供依据。

Characterizing Healthy & Post-Stroke Neuromotor Behavior During 6D Upper-Limb Isometric Gaming: Implications for Design of End-Effector Rehabilitation Robot Interfaces

  • 基于表面肌电构建隐马尔可夫模型,分类不同神经肌肉行为模式。
  • 中风患者在6维力输出中误差和平均力显著高于健康人(p=0.05)。
  • 任务设计细节直接影响用户行为,提示康复界面需个性化适配。

成功机器人辅助康复需设计能促进健康运动策略的游戏与干预。然而,用户神经肌肉行为、游戏界面与物理机器人的相互作用,使系统组件设计及“健康”或“病态”行为的定义变得复杂。我们利用开放数据集OpenRobotRehab 1.0,评估了13名健康者与2名中风患者在使用末端执行器康复机器人进行等长轨迹追踪任务时的力输出、肌肉激活与游戏表现。研究揭示:任务定义(如约束轴向及用户对指令的理解)显著影响行为;病理特征可从6维末端执行器力数据中检测到,健康与中风群体在力误差与平均力输出上存在显著差异(p=0.05);健康神经肌肉策略具有高度异质性,难以统一刻画。此外,提出的基于HMM的分类方法可有效区分健康与中风状态,而基于协同的分解方法则无法实现该区分。结果为设计能适应多样用户群体、促进更健康运动策略的自适应末端执行器康复机器人提供了指导。

原文摘要 · Abstract (English)

Successful robot-mediated rehabilitation requires designing games and robot interventions that promote healthy motor practice. However, the interplay between a given user's neuromotor behavior, the gaming interface, and the physical robot makes designing system elements -- and even characterizing what behaviors are "healthy" or pathological -- challenging. We leverage our OpenRobotRehab 1.0 open access data set to assess the characteristics of 13 healthy and 2 post-stroke users' force output, muscle activations, and game performance while executing isometric trajectory tracking tasks using an end-effector rehabilitation robot. We present an assessment of how subtle aspects of interface design impact user behavior; an analysis of how pathological neuromotor behaviors are reflected in end-effector force dynamics; and a novel hidden Markov model (HMM)-based neuromotor behavior classification method based on surface electromyography (sEMG) signals during cyclic motions. We demonstrate that task specification (including which axes are constrained and how users interpret tracking instructions) shapes user behavior; that pathology-related features are detectable in 6D end-effector force data during isometric task execution (with significant differences between healthy and post-stroke profiles in force error and average force production at $p=0.05$); and that healthy neuromotor strategies are heterogeneous and inherently difficult to characterize. We also show that our HMM-based models discriminate healthy and post-stroke neuromotor dynamics where synergy-based decompositions reflect no such differentiation. Lastly, we discuss these results' implications for the design of adaptive end-effector rehabilitation robots capable of promoting healthier movement strategies across diverse user populations.

康复机器人神经肌肉动作分析中风

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